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4573 Lake Park Dr. CASH RECEIPT • CITY OF EAGAN 3795PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 weccivEn FROM AMOUNT $ I - 8 DOLLARS ?oo ? CASH ? CHECK roR • ? BY h White-PaYers Copy (,? Yellvw-Posting Copy Pink-File Copy Thank You CITY OF EAGAN « 3795 'ilat Knob Roed Eeqon, MN 55112 PHONEt 454-8100 BUILDING PtRMIT Re«ivt # Ts 6m uwd fm 'j ?'' '' Est_ Value •4 .rI`;0• Date _ A i! 1{?•J•`O' 8798 T r Y<1i:. UI . Site Adqress 3 LcU:C E?eet (?} Occuparxy 1 - - lot Blxk SeC/$ub. ?"?' • /11ter ? Zoning i. r0 030 01 k . I:.Y Pa?? # • Repoir ? Ffre Zone :., : . Enlorye ? Type of Consf. ac Name Move ? # Stori Z _"Jo .`.., ey ." ?T?.. il??'?l. Address Demotish ? ?R Length t ,-:.,, t- ,_;I: e,,,,.,_ 454-1600 Grade ? Depth 4,0 Sq. Ft. °C Name . _ _ _.. ....?- . ...._? v . o? Address ? " -?4 -1?'?0 o?,,,... Name _ Address I hereby acknowledge that I hove read this applicotion ond sfote that the intormation is Correct ond ngree to tomply with all applicoble Stote of Minnesoto Statutes and City of Ea9on Ordirances. /lssessment Woter & Sew. PoHce Firo Erg. Plonner Council 12/3-3740.3 ? Bldfl. Off. APC Permit Surchorpe - Plon check _ SAC Water Conn. Woter Meter Rood Unit _ rotot ?1. "54. 50 Sipnoture of PertniKee .. 1 _ . _ ..177 . /1 Building Pe?mit Is issued to: on the express conAition thnt 011 work sFwll be done in occardonce wlth all oppliwble State of. 1Mlnnesoto Stotutrs and City of Eo9an Ordinances. Buildinp Officiol Permit No. Permit Holder Misc. Permit No. Halder Plumbiny H.V.A.C. r w.eer w.u Disp. S?wsr EMetric L? Inypection Date Insp. Other Footinyt ?..? Foundation Fnminp Rouph Plb¢ 't- i{- Rouyh HVA Inwlation Final Pibp. /??2 1,3 ' 13 _? ? Final HVAC Final watar Describe Location: YYsll Ssver 0 Pr. Disp. ; y C ITY OF EAGAN 11200 3830 Pilot Knob Rosd, P.O. Box 21-199, EsgBn, MN 55121 iW PHQNE: 454-8100 BUILDIN6 PERMIT rtece+Pt ?t ' T. b. wd fsr Est_ Velue i ??? ? IL,?. Sfte Addreu Lot Block SeclSub. Erect Parcel No. Repair Addition Move ? Name i ^ Demolish Addreas Int Impr. o Name 0-' Address - Citv Phone I hereby acknowledge thot I hove reod this ol the information Is correct and agree to con Stote of Minnesoto Stotutea and Citv of Eo Sipnoturo of Permittee A Building Permif Is lssued fo: oll work sholl be Aone in otcordante with oll Buildinq pfficiol ? ? ? ? Occupancy - 2oning Type of Const. No. Storiea Length Qepth Sq. Ft. /lssessment Permit - ' ` • -' ' Woter b Sew. Surcherye 1-` • Police Pian Revlew Fire SAC Enp Wate? Conn . . Planner Water Meter ond stote thof Councll Bld Off Road Unit oll oppliccble g. . Tc Pt wnces. APC Parks Var. Date Copiea Total on the express conditlon thao e Stote of Minnesoto Sfatutes nnd City of EaQon Ordinantes. l Pwmit No. Permk Holdu Data T&lephon* ? Plumbing H.VA.C. , EMetrie Softener Irapeetion Data Insp. OthK Footings 1 ?U ) $" Footings 11 Foundatlon Framing Roofinq Rouph Plbg. Rouyh Hty. Inwl. Firoplscs Final Htg. Flnsl Plby. Flnal ? Cert/Occ. Water ??ibe Loeation: WNI Sewsr P?. Dlsp. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN ' Fee Fi!l in numbered spaces S/C Type or Psint legib/y Tot. 1. Date 2. Installation Cost % -t- ) 3. Job Address Lot ? Blk. Tract .? 4. Owner z.:ziLt:[?? . '? . 5. Contractor .._i i c-k- Phone 6. Address 7. , State Zip ? ,?, 8. Building Type: Residentia?•?'C?I Cammercial O Institutional O i 9. Work Description: Ne Add O Alter O Repair ? 10. DescribaL Fuel Type 11. No. Eauioment BTU - M. Ea. Forced Air No. Eguiament CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. c-? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed - for Rough F inel Inspections: Date Insp. Date Insp. This is your permit when_numbered and approved. Approved ' CITY lJF EAGAN 454-8100 ? PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print /egibly Permit Na: ? Fee - S/C Tot. 1. Date 12-9-51 2. Installation Cost Lake Parkr 3. JobAddress L&_Bik. ; , Tract -l,a 4. oWner Steve Parranto 5. Contractor Wenzel Mech Phone 452-1565 s. Address 3600 Kennebec Or 7. City EdadR State Mn Zip 59122 8. Building Type: Residential MX 9. Work Description: New J47 10. Describe ! 11• a1-// - P3 Commercial ? Institutional ? Add ? Alter ? Repair ? No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank - Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other $&W $21.00 Laundry Tray di shwasher diSpOSdI Floor Drains , water heater Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough , Final Inspections: Date Insp. Date Insp. This is your permit whe numbered and approved. Approved CITY OF EAGAN 464-8100 J S CITY OF EAGAN Remarks Addition i,AKE PARKTDLLTTQNTShores Lot 3 Bik ? Pa i#1D?200 (L?Q1 - ow?e? _ ":???. r;.:%, 4573 Lake Fark Drive agan? 55122 Street State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 2529.52 0. 0 1011.82 A 013771 4-20-84 STREET RESTOR. GRADING ? j,QLFQ. ]!+ SAN 5EW TRUNK *SEWER LATERAL 5/ 3.. 4 14241 276 36 15 3037.77 . 1 . WATERMAI N *VATER LATERAL loRl WATER AREA 4/31 1980 280- 00 7 5 186.70 S70RM SEW TRK 596.86 ,yS70RM SEW LAT CURB & GUTTER SIDEWALK 57REET LIGHT WATER CONN. 450.00 BUILDING PER. • SAC t/ n PAR4C CITY OF EAGAN WATER SERVICE PERMIT 3830 Pitot Knab Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55721 DATE: ry` ?' Zoning: No. of Units: Owner: N'iaoe- 11 3e- D! Addrexs: Site Addrcsi,573 Lakc nart: ?:x' i,3 1?1 I.ab,:-? R'arlc !.c':c:n Plumber: ?'?*1• rl ',IW.`:i: t- Heating AAeter No.: Connectian Charge: " -.? • ?- 5ize: Account Deposit: Reader No.: Permit Fee: - 10.00 Pc? I a9rae to wmply wkb tha City of Ea9en Surchcrge: •5-0 GdinaAAtsc. Charses: 01 P ? Tatol: BY Date Pnid: Date of Insp.: Inap.: CITY OF EAGAN y`EtA?ER SERYICE PERMIT ? ! 3830 Pilot Knob Road r P. O. Box 2 1199 PERMIT NO.: Eagan, MN 55121 DATE; T ? { ^ir+0: p ` No. of Units: I pwrwr: PRrr. anto Bros f Addr? ? Site ? Plum ? ? ? I.gree to oomPyr w&b Hie Ciy oF Eassn C.onnsction Chrnpe: 425.00 pd ' Ordlsonoea. Acwunt Deposit: Pem,it F.e: n? d su.d,arge: .50 n d BY Misc. CFwrqes: Date of Insp.: Totol: Insp.: DoN Poid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 2 P. O. Snx 21199 PERMiT NO.: 12 14 83 Eagan, MN 55121 DATE: Zoninfl: RI No. of Units: -- - q,,,ner; _ Parranta Bros qddresSkS 73 Lake Park Dr IJ B L Lake Park Addn FAetas No.: Connection CherQe:4Dv.vu pa Siu: Acc+ount Deposit: Reade. No.: 1? 1-0 9 i a. Permit Fee: 10.00 Pa 1agese to oomPip wftb tM City of Eoyss Surcharye: .50 pd Ordina Mtsc. Chorpes: 60.00 pd ? Totnl: aAl" 8? Dats Paid: DaRe of lnsp.: ' / ('-, " lrqp.: CITy pF EAGAN In?lude 2 sets of plans ,?7 ? O 1 site plan w/elevations & _ ? ' &JILDING PEI?7.iT APPLICATION 1 set cf energy calcula ons. rno BE: usaa rror W G &00, valuatiorf DarQ 83 Site Fddress yS ? 3 Zi4l?=P cK l?- ' OFFICE USE ONLX /?11CE K E1 d 14, tot ? Block Sec./Sub. EYect 7L- OccuPan?Y ..-.- n??i #: 3a A1ter Zoning Repair Fire Zone Owner: S7??U?/t? "C ?-?4e _ TYPe of Const. Nbve # Stories Acklress: Desmlish Front ft. City/Zip Code: Grade Depth ft. Phone #: Contractor: P???InIle P s &Ue? ? Address: 31Od' SF/,3Li'?l !7'1(277V1 IdC.vd city/zip Code: I4 GYfuJ /VIIV- 5-S-(2- Z_ Phone #: ?S-S' /f?60_ Arch./EYxJ.- Address: City/Zip Code: Phone #= ?4ater/Seaer Police Surcharge s 7 y Plan Check? Fire SAC gg , Water Conn. ?(S-z) Planner Water Meter 217? council Roaa unit Bldg. Off - - AFC )V'IJ"g`3 'qse TOrPS, /i S? 5 q- S O CITY OF EAGAN N? S7O8 9795 Pilot Knob Raad Eagon, MN 55132 PHONE: 454-8100 B4ILDINCa PERMIT Receipt # C?L /7?- ro 6e wae rw SF DWG/GAR en. vei.e $ 74.000. oate Decenber 14 ,0 83 SiM Address 4573 I,a1ce Park Dr. Lot 3 Block 1 $ec/Sub. Porcel # 10 44200 030 01 Iake Pk. Add. rc Nome Steven J. Parranto 9 z Addreu 3908 Sibley Mem' Hwy^^ p Nome rcutcuaw c??w. 'cu 3908 Sibley Mem. Hwy. ?? Address t- r... Ea4an ok...,. 454-1600 Ncme _ Address I hereby ocknowledge that I have read this applicotian and stote that the inlormotion is wrrect ond ogree to comply with nll applicoble Stafe of Minnewta $totutea ond City of Eogan Ordvancet. $ipnafure of Pertnittee A 8uilding Permil Is issued to: PaLYan?O ASSOC? oll work shall be done in accordance wlth nll opDiicabla State ofA . Erect (N pccupanty Alter Q Zonirg RI Repair ? Fire Zone N/A Enlorge ? Type of Canst. V Move O # $tories Demolish ? Length 48 Grade ? Depth 4$ Sq. Fi.- Approvals Faos Auessment Woter 8 Sew. Police Fire Erq. Planner Council Bldg. Off. APC Permit 9 307.VU SurcFwrge 37•00 Plan check 177.50 SAC WaferConn. aso_oo Water Meter 60.00 Roud Unit 250_00 Twol $1 854.50 on express CondiNan Ihnt gan Ordirqnces. Buildinq Offidol CITY OF EAGAN N°_ 'I 'I Z O O 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDINGrPERMIT PHONE: 4548100 eeceipt # 7/ Te M 5nad ier GARAGE ADD Est. Value $Z • 900 pate NOVEMBER 1 19 85 SlteAddress 4573 LAKE PARK DR Erect ? Occupancy L Lot 'I_ elock 1 Sec/Sub AKE PARK SHOREgemodel ? Zoning . Parcel No. Repair El Typa of Const. AtldRion ? No. Stories Name DENISE KECLER W Move ? Length Z 2 Addrest $AME Demolish ? Deptn b Int Impr. ? Sq. Ft. City Phone Install ? o Name TIBERON INC AvC?ovoh Faes t " s Addresa--3908 SIB MEM H WY Azsessment Permit $38 50 ? City Fj1GAT Phone 4 54-1600 Water85ew. Surcharga 1.50 tW Name Police Fi ?-V, Address ra E nq. 'W City Phone Plonner Council I hereby acknowledge that I have reod this opplicotion ond stote thof gldg. OSf. lO/lB/ fhe informotion is rnrrect ond o ree to mply with all opplicable State of Minnesom Statutes Gty o g Orduancea. APC Var. Date SlprroWre of Permitt A Building'Permif is issued M: BERON INC all work ahall be done in xmrdonce with oll ,a-?d!??tablan5Bulldinp Ofticlol la(I I}?fl Plan Review SAC Water Conn. Water Meter Road Unit _ Tr. PI. Parks GOples ' Total $?? on fhe express conditlon Ihot $tatutes and Ciry of Eapon Ordirwnces. tL- /t. REQUEST FOR ELECTRICAL INSPECTION ?s-oouoi.oa ' See instrucbons for comoleting this torm on back of Yallow copy. ?? "^"X" Below Work Covered by This Request 40 yi y MevAAdtll Reo.l Tvoe ol 8minma 1 Aooliences Wired 1 Equipment Wiretl t I I I I Apt."Buildinq 1 I Drver ` I I Electnc Heatuia l I I I I Commercial Blda. 1 I Fumace 1 I Silo Unloader I Air Condrtioner k Fee ServtceEntranceSae 4 Fee faxders/SubfeeAers p Fee Cucuits 0 to 00 qm s 0 to 30 qm i 0 to 30 Am os Above 2 00 qmpsl 31 to 100 qmps 31 to 100 q y Swimmin Pool Above 100_Amps Above 100_Amps Transiormer5 Irrigation Boorcis P'r.rtial.'Other Fee JIgnS Special InSpeCLOn Hemarks . $10 .50 TOT E i? ~ ) Final in I, the nwl Inspectoq hereby cerLty thal the nbove Znspecbon hes baen This raquest void 18 rronths trom _4 /L-/b -F'3 6/ ?,?/o. o 0 ?a k? P/e. ? ?O41y nequest unte Fi?e No. Nough-in InspecNn [ion Pepuired? ?Raatly Now ? Will Nnvty Insoec- ?q 12-15-83 ??es ? to, WhenReady u L,censed ElecVicai Canvactor I hereb y request tnspection of above ? Owner electncal work mstalled nY Street Address, Boa or Route Nn. Cny 4573 LAKE PARK DRIVE EAGAN ecuon o. Township Name or Nn. Fange No. Counly DAKOTA OccupantlPRINTI Phmie Nn. Power Supplier Addrass Electncal ConVar.tor ICompany Namel nnVacmr"s License No. LAKEVILLE ELECTRIC INC. A041802-9 Mading Address (COnVactor or Owner Makme Instailatfon) 20480 JACQUARD AVE. W., LAt:EVILLE, MN 55044 Authoneed iAnatu (COnt ac[or?0 er Making Installabun) Phone Number 1 469-4939 MINNESOTp STATE BOAPO OF ELECTRIC7l?Y THIS INSPECTION REQUEST WILL NOT Griggs•Midwey Blde. - Room N-191 V BE ACCEPTED BY THE STATE BOAHD UNLESS PflOPER INSPECTION FEE IS 1821 Omversity Ave., St Pau1, MN 55104 Phnnw (8121 297-2171 ENCLOSED. I f? ,P?/ REQUEST FOR ELECTRICAL INSPECTION ?' Sen instrvctions br comolebn9 this form on back oi yeilow copy. 11" Below Wak Covered by This Request - EB-00001-94 N: q0 952 Add RBp. Type of 6wltlhng APPbances WirBd EqmVmBnl Wired X Home Range Temporary Service Duplex Water Heater LiqhLnq Fixtuies Apt. Bwlding Dryer Electnc HeaLn Commeraal Bldy. Fumace Silo Unloader Industnal BIAg. Air Condrtioner BWk Milk Tank Farm oma. oeci yl ome,lsoe,.?fv; t er SoeufY Other Othe, Comuute lnspecUOn fee Below tl Fea ServicaEnhenceSize b Fee Fexders/Subfeatlers N Fee Crtcwts U to 00 Am 5 0 to 30 Am ps 0 tn 30 Fam os Ahove 200 Am ps 31 to 100 Amps 31 to 100 Am s Swinuning Pool Above 100-Amps Above 100_Am s Transtormers Irngation Booms Partidl.'Other Fee Signs Special Inspection 5 TOT E Remarks 50 .5 E ?? ? a. Rough-m Elactn ? i'? ??spec oq eraby cerLty t?at the above Final inspecLOn has Deen rV mada. thie reaueat vaiE 18 monlns trom This repuest void /-a Oo 18 months from 0, 1 ????1 l. 3 1 l.PtkE Pk. D ??- A spxcL??n Reque?st Uatt Fire o. floogh-in In ' Reqwredt [] fleady Now E] Wiil Noufy Insp., 1-24-84 RY¢s ?NO [or When Reatly Lwensed Elechical ConVactor I heraby request mspecbon of above Owner electncal work installed aL Street AtlAress, Box or Route No. Gtv 4573 LAKE PARK DRIVE EA6AN ecUOn o. Townshio Nnme or No. Range No. County DAKOTA OecupantlPRINTI Phone No. ower SuOD,!er Address DAKOTA ELECTRIC FARMI NGTON MN Electncal ConVactor (Comoany Name) Contractor's Lwensu No. 2- Mailine AdJress (ConVacmr or Owner Mabng I nstailaLOn) 20480 JAC UARD AVE. W. LAKEVILLE MN 55044 Authpnze nature ( hactn Owner i InstallaLOn) Phone Number 46 -4 MINNESOTA STATE 80APD OF ELECTRICITV v THIS INSPECTION ftEQUEST WILL NOT Griggs-MidweV eldg. - Poom N-181 BE ACCEPTED eY TNE STqTE BOARD 1821 Universi[V Ave., St. Paul, MN 56104 UNLESS PftOPEfl INSPECTION FEE IS Pe,.n 16121 297-2111 ENCLOSED. ?}}I,,•,?x J 7S 73 ?l4 /2LILl?%KpFl?K-'DS.Y'/r23 / / . . rE: Z. lt HEATI NG CONTRaCTOR_j4 c,) p cLi n? Ce PHONE: b 14 23d' l eUiIDING CONTRACTOR OR OWNEP'Trrn a Ic r Li.y/ PHONEt 6 ff "EcY I •* The baeic informstion beloW muet be eecertained from the energy caloulatione and plane approved by the 8uilding Departmant for the atructure to be built. C/Qf, / Lfys-L) •• 1. Sq. feet of exposed Wsll eree ahovs grede 8'(.) 01.Z3 7X3" x"U" .oy B2 degrea dealgn Eemperatur «• z. sq. teet of cailing area °u" ? tla ze2. 3. Sq. feet of baeamant floor area /*X9 L x3. 4. Sq. feet of'Wall area belom grede_ yJV z6. I 5. Lin. tt, ot lnfiltration for mindoWS x(.5) x (1.08) x 92 dagreee. 5. Lin. f!. at'infiltration for doore x(1.25) x (1.08) x 82 degreos. 7. Lin, ft. of infiltration for;?aliding door s-' x(.75) x(l.OB) x 82 degraes. B. Allomance Par kitchen end bath fana kitchen fsns 0600 BTU ea. -beth fana i200 BTU ea. 9. Ailomanea for tireplaces ' #24" to 32" v].#U00 BTU ea. # ' -34" to 42^ 01,300 BTU ee. 42f' 3 larger a 19500 BTU ea. 10. Total 8TU loee for all above iteme 11. Add Por comhuetion air (SBC 7722)--(.001) x net loea above, x(12,5) x(.075) x 82 degreea. 12. Add 13, Iqeximum increaae el2owable by SBC 6007-anawer above x 115% Output size of furnaca ahall tall betmaen 12-13. , ^2 L2S '/ 3 aa ?v .t4"-rts" 777P /00 o 3'?? 3 36 (Thie ie the size furnace you ahould uee ln thie etructureg the eode doea e11oW you to uae the next eize eveilsble) providing thet appropriste equlpment ia not readily available. The undereigned, as applicent for a heating permito hereby effirme the above informa- tion hae been preparad 6y snd/or for himaelf, or under hie dlrection= herehy ecknowledpee the lnformatian to ba cotraet and accurate; and herehy presente thie information with raquired plene in eupport oP the =eating Permit Application. OateI I?? 3 /?3 Signaturet?-?y?_ . , -- - -• - -- - -- 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) 3? S cirir oF ??cnN 3830 PiLOT KNOB RD - 55122 10 c? Q, 651•681-4675 S - ? New CansfiucNon Reauhemenh Remodel/Reoa6 Reau6emenh ? 3 reglstered sBe surveys showing :q. fl. of lof, sq. fl. ot house 2 eopies ol plan and all roofed areas [20% maximum lot coveroae a0owed) 1 se1 of energy cckulaNons (a healed addHlons D 2 copies of plans (fhow beam a window sizes; poured Ind. design; etc.) 1 sMe suney lor exlerlor addHlons 8 decks D 1set of energy, catculaHons > 3 copies of hee preservafion plan 9101 plaMed aHer 7/1/93 DATE: CONSTRUCTION C 5T: '9? ? DESCRIPTION OF WORK: 'cQICe.C?P ??r ?Co?1012n'? STREET ADDRESS: '1`0 ? Q L-0,A?- "l LOT: 3 BLOCK: SUBD./P.I.D.9: \-'s? 0"C Name:--K' keIZ Phone #: (4S4 - ztaS 8 PROPERTY Last Fkd OWNER ? Sheet Address: `?73 ? e ??ZA `?' L City C.CC.GG ? StaFe: Zip: Company: Su/Ge- CG CA Phone #: G I 2 Qct 7? 22-7 C-? (area code) CONTRACTOR Street Address: 1a 5???/ CO? ST (A? License # ZOW ZZ S Exp. -?'?aUo City l.l .vJ nI P?C?k?.--1 State: Zip; S S/ Z y ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( Street City Sewer i woter licensed plumber (reaulred fu new conshucflon onlv): State: PenaHy applies when oddresa change and lot change is requested once permN is issued. Zip: I hereby acknowledge that I have read this applicatlon, state MaF the IMormallon is coneet, and agree to compy wRh all applicabl State of MlnnesWa Statutes and Cify of Eagan Ordlnances. / ? Signafure of Applieanh`?/ / -Cti-?(-/n ( .[?? OFFICE USE ONLY P?ECEIVED Certificates of Survey Received _ Yes _ No MAY 0 7 1999 Tree Preservation Plan Received Yes No _ Not Required - - BY: Registration #: 4 4z 7985 BUILDING PERNIi APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED IiITH THE CITY OF EAGAN COl41ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1'SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND ?? G(Ji7XI c.X? SINGLE FAMILY DifELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Date• /?' ?'- ? '? To Be Used For: Cff&W. Valuation: 2900 Site Address %-5"-?73 44KCpARK 2,_,. f oF Loc 3 bloox Parcel/Sub ?Qk 5 NoQL=S. Owner pb h1? SE F•Cecl..67p Address yS'L3?1 Y3?,/? p$r-i{ City/Zip Code j'"y3&-Y-l/? ,$'J r ZZ Phone Contractor =j[3L--f.0nJ /ivG Address I 3Q0e n;84y m*-)n uwY City/Zip Code L--WaY}n/ S-se 2.2 Phone Arch./Engr. Address City/Zip Code Phone U Erect ? Occupancy Remodel Zoning Repair ? Type of Const Addition jC ? ti of Stories Move Length Demolish ~ ? Depth Int.Impr. Sq Ft Install EEES Assessments Permit 38•? Water/Sewer "- Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Ro d Unit Bldg Off p_ - reatment P1 APC Parks Varianee Copies y TOTAL 1 ? ) (U' ? ? ? K 1985 BOILDING PERNIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH T'HE CITY OE EAGdM COt41ERCIAL SINGLE FAMILY DifELLINGS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND ypLLIaL INh('C2.T104 To Be Used For: Wer BSMi. Valuation: Site Address :?Gj13 Lot 3 Block ? Parcel/Sub Ln4-l'E I/-k,?-K- Owner Address City/Zip Code Phone Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone p nate: 10' 4 •65 Ereet ? Remodel ? Repair , Addition Move ? Demolish ? Int.Impr. ' Install IAPPROVALS Occupancy Zoning Type of Const U of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer ? ~ Surcharge Police Plan Review Fire SAC Engr ? Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAL 12a I ? "R?-?? ,?- ?? ,4,'•?/ ZNCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS 110004 zoos RESIDENTIAL PLUMBING PeRnniT aPPUCATiont CITY OF EAGAN 31550 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Y I Lf) I - - Site Street Address Unit # Property Owner m l , -o ? Telephone #tp5oqILl Contracto 1:?? T l h C?7 . e ep one , ? / Address'-? State? Zip? 11L , The Applicant is: _ Owner ? Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ ?50.00, _ Add plumbing fixtures. This fee includes installation of a water soitener.andlor water '• •' heater at-the same.time.. !f you are installing onlv a water softener and/orwater ' heater, do not complete this section; move to the next section and check the appliance(s) you are instaliing. _Septic System Abandonment _ Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new t- raptacemert Lawn Irrigation _RPZ _PVB _new _repalr _re6uild $ 30.00 State Surcharge $ .5,0 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work wili be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required t reviewed and approved. ? - \ C?, `? hL?? e_2- 3? 2 . ?_ ApplicanPs Printed Name Appii nPs Signature ? . SIC3MA S4.JRVEYi6VG SERVICES 3908 Sibley Memonal Highway ? Eagan, Minnesota 55122 Phone (612) 452-3077 Scale : 1 inch = 30 feet -N- a Deno[es Wood Hub Se[ * Bearings Sho:an are based on Assur.rd Da[um * %9zg14 Denotes Existinq Spo[ E levati on s CERTIFICATE OF SURVEY FOR: MP. 8i MfS. $t@V@ Parranto ,4 ... ? \ 91n.9 T.lc 0>x / [,9z:.8] Denotes Proposed Spot Elevations ,,*v-'- Denotes Proposed Drainage i 0?9 1.c. M1?. 'yisiS K -_f_?Sa / / ? L , u I / / '..t.! .' T29 I 1 ?` f/ Y40 ?'_ . ............. N ?? ? N s ?1 ? N°;; V p,.v ,^ E u7 g ` pP (Y ^ 4ti ' v V \ ? ??O' ? ?? °Q ?12f eX ?: W MQ? o ,; -•. -? ? Lor 3 • _ .'x . ` ?u ? T Ret. W>Il ?? ?T tO ? O 04 ?ti4 X k , . ? ? / ??Dva:..> ?4:1.4y E>ce.?en} -- N89°34321W 176.83° - eo . s \ PROPOSED GARAGE FIAOR ELEV. 922.\ e ? ?+ ^ / T Y N ? c M Q PROPOSED FRONT ENTRY ELEV. 924.0 PROPOSED BASEMENT FIAOR ELEV. 920.1 walk-out I hereby certify that this survey, plan or report was prepared by me or under my direct supervision, that I am a duly Registered L'and Surveyor under the laws of the State of Minnesota. l00", 0 A:%r- Wayne D. Cordes, Minn. Reg. No. 14675 ?ate: Uecember 12, 1983 Reu,sed: S6w GAflRGE AoO171oN . , \ Aq? ? L.t/ 1 \i , ? i \ N ?.I PROPERTY DESCRIPTION Lot 3, Slock 1, LAKE PARK SHORES, according to the recorded plat thereof, Dakota County, Minnesota. SIC3iVIA SlJRVEY1NCi CER7lFICATE OF SURVEY FOR: S E R V I C E S ?, A?Ors. Steve 3908 Sibley Memorial Highwa ?r. y Eagan, n4innesota 55122 Parrunto Phone (612) 452•3077 Scale : 1 inch = 30 feet <q9'? - N - s?B o Denotes Wood Hub Set 7sr,,,, • s? p ? M R. qVE Bearings Shocm are based on _- Assur.,ed Dawm * ?9 R 1t? x92334 Denotes Existing Spot Elevations ?e°" da.? o VO? • "? ?, [x9zz.8] nenoCes Proposed Spnt Elevations '+43. , L T32 ?_•?'s.s ? A? n• wn.r.r r...,,.,t° ' 9?s ..*?Denotes ProposFd Drainagc • f TepN.b P n' ? 8 Teo M.'^ 1L1311 Gi0.0- Yq.o _?. RAI ' V19.0$ 1?\ F/ Gp Mr1? ' I'. ?„ ? I l.0 \ ??p1' E ?/ 9 ? I c, P / • 4? ? i 5 ?? ?P \ ? J"'?? N ? / ^t 92aax?,*?$' O(? ? ` e I Lor 3 1tY.Vl ?Q 4 4Do ' 6I];. 1?? Arh ? tor N w 'mo F'pN ? `t, e?a ?I ? / ,\ a• ?? f Rd. Wall_??'I,_. I,: O ?.J L ?.l L / N89°34321"W f7S.85-- C? ".s$ - ?? F4s???Nr \ ? \ lo? 4t? s` \ PRCPOSED GARAGE FLOOR ELEV. 922 , 3s662 PROPOSED FRON'Z ENTRY ELEV. 924.0 PROPERTY DESCRIPTION PROPOSED BASEMENT FIAOR ELEV. 920.1 uralk-out Lot 3, Block 1, LAKE PARK SHORES, accordinR to the recorded plat thereof, Dakota County, Minnesota. I hereby certify that this survey, plan or report was prepared by me or under my direct supervision, that I am a duly Registered Lxnd Surveyor under the ]aws ot the StaCe of Minnesota. Wayne D. Cordes, Minn. Reg. No. 14675 Date: December 12, 1983          î þ  ý þýý  üûû ú     ùýý üøñïððþ    ôüô ðð ÿ  þý÷  üûúùø ñ ôûùø  ÷ôùø ÷ö õô ó öõò ø    û ñ  û ñ ððìûø ù ï üîû ô í   øôë    ô îûô     ô  ú ô êé  ôööø  ý éôéô   ý  ø êñ éôé  ø  é ô   ê ñ ôú è   ô  ô ô îûô úù ö  é ù ê  í æääêäêðä öù  üûô ô  æê ê  ç û ýê  õô ÷ óò øø  ñô ã  û  ßã   ë ð   ôô ã þ  ãó ÝßÜßßä  ô úù ö    ë ô   øø       éô  ôô   ô  øùö  øø ú ü   éã  ü û  ñùéþ  ìô  ê øø õ ô  ü ûô  û ùü ûô PERMIT City of Eagan Permit Type:Building Permit Number:EA130813 Date Issued:05/15/2015 Permit Category:ePermit Site Address: 4573 Lake Park Dr Lot:3 Block: 1 Addition: Lake Park Shores PID:10-44200-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael D Haugen 4573 Lake Park Dr Eagan MN 55123 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA140270 Date Issued:12/06/2016 Permit Category:ePermit Site Address: 4573 Lake Park Dr Lot:3 Block: 1 Addition: Lake Park Shores PID:10-44200-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael D Haugen 4573 Lake Park Dr Eagan MN 55123 (651) 440-2486 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use 4111 Permit#: frV21r (L.". City of Ea an Permit Fee: 3830 Pilot Knob Road Date Received: Eagan MN 55122 Phone: (651)675-5675 Staff: Fax: (651)675-5694 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (7-2-3-11 Site Address: 4573 Lake Park Drive Unit#: Name: l -\ 1 c hael (A-NA- 6X( Hallien Phone: 691-cN o "' tc/86 kigitROtidOtrw., 4573 Lake Park Drive, Eagan, MN, 55122 vosmowrieragrAAddress/City/Zip: Applicant is: Owner Contractor Description of work: Reframing entry door opening Type of Work $1000 Construction Cost: Multi-Family Building: (Yes /No Company: Window Concepts of Minnesota Contact: Tim Andrew Address: 291 Eva Street City: Saint Paul o>i�tllctc�r`° MN 55107 Phone: 651-604-8267 Email: tim.andrew@windowconceptsmn.com State: Zip: License#: BC 163493 NAT-23718-2 Lead certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:PPlanscand suppo_rti is t w itti et a s7# a ifs tra: aja$ � r � � CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. xTim Andrew x / dr/ • Applicant's Printed Name Applicant's Signature Page 1 of 3 ' - f � G- DO NOT RITE BELOW THIS LINE 17-7„ *".� SUB TYPES /Foundation Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) ii Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior ✓Alteration — Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION (AAA Valuation i 000 --" Occupancy 1 TV/ ( MCES System 1•__ _Ar___ Plan Review Code Edition 0t5 SAC Units —�"— (25%_100%6 Zoning Z ' 1 City Water Census Code Stories 2 Booster Pump #of Units Square Feet PRV #of Buildings I Length Fire Suppression Required Type of Construction V . 13 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) /Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final ✓ Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed Reviewed By: `- ek1'6:' , Building Inspector RESIDENTIAL FEES 5). Z s Base Fee 8. 5-0 Surcharge 33.3 I Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL $S. D (o Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA146339 Date Issued:10/20/2017 Permit Category:ePermit Site Address: 4573 Lake Park Dr Lot:3 Block: 1 Addition: Lake Park Shores PID:10-44200-01-030 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael D Haugen 4573 Lake Park Dr Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature